Patients' perception and actual practice of informed consent, privacy and confidentiality in general medical outpatient departments of two tertiary care hospitals of Lahore

被引：41

作者：

Humayun A. ^{[1
]}

Fatima N. ^{[1
]}

Naqqash S. ^{[1
]}

Hussain S. ^{[1
]}

Rasheed A. ^{[1
]}

Imtiaz H. ^{[1
]}

Imam S.Z. ^{[1
]}

机构：

[1] Department of Community Health Sciences, FMH College of Medicine and Dentistry, Lahore

来源：

BMC Medical Ethics | / 9卷 / 1期

关键词：

Medical Ethic; Public Hospital; Data Collector; Private Hospital; Tertiary Care Hospital;

D O I：

10.1186/1472-6939-9-14

中图分类号：

学科分类号：

摘要：

Background. The principles of informed consent, confidentiality and privacy are often neglected during patient care in developing countries. We assessed the degree to which doctors in Lahore adhere to these principles during outpatient consultations. Material & Method. The study was conducted at medical out-patient departments (OPDs) of two tertiary care hospitals (one public and one private hospital) of Lahore, selected using multi-stage sampling. 93 patients were selected from each hospital. Doctors' adherence to the principles of informed consent, privacy and confidentiality was observed through client flow analysis performed by trained personnel. Overall patient perception was also assessed regarding these practices and was compared with the assessment made by our data collectors. Results. Some degree of informed consent was obtained from only 9.7% patients in the public hospital and 47.8% in the private hospital. 81.4% of patients in the public hospital and 88.4% in the private hospital were accorded at least some degree of privacy. Complete informational confidentiality was maintained only in 10.8% and 35.5% of cases in public & private hospitals respectively. Informed consent and confidentiality were better practiced in the private compared to the public hospital (two-sample t-test > 2, p value < 0.05). There was marked disparity between the patients' perspective of these ethical practices and the assessment of our trained data collectors. Conclusion. Observance of medical ethics is inadequate in hospitals of Lahore. Doctors should be imparted formal training in medical ethics and national legislation on medical ethics is needed. Patients should be made aware of their rights to medical ethics. © 2008 Humayun et al; licensee BioMed Central Ltd.

引用

共 38 条

[1]

McCullough L.B., Chervenak F.A., Informed consent, Clin Perinatol, 34, pp. 275-85, (2007)

[2]

Mahmood K., Informed consent and medical ethics, Ann King Edward Med Coll, 11, pp. 247-9, (2005)

[3]

Mallardi V., The origin of informed consent, Acta Otorhinolaryngol, 25, pp. 312-327, (2005)

[4]

Nasilowsky W., Patient's consent to treatment with reference to the development of medical ethics, Wiad Lek, 60, pp. 198-200, (2007)

[5]

Del Carmen M.G., Joffe S., Informed consent for medical treatment and research: A review, Oncologist, 10, pp. 636-41, (2005)

[6]

Moskop J.C., Marco C.A., Larkin G.L., From hippocrates to HIPAA: Privacy and confidentiality in emergency medicine: Part I. Conceptual, moral and legal foundations, Ann Emerg Med, 45, pp. 53-9, (2005)

[7]

Geiderman J.M., Moskop J.C., Derse A.R., Privacy and confidentiality in emergency medicine: Obligations and challenges, Emerg Med Clin North Am, 24, pp. 633-56, (2006)

[8]

Sankar P., Mora S., Merz J.F., Jones N.L., Patient perspectives of medical confidentiality: A review of the literature, J Gen Intern Med, 18, pp. 659-69, (2003)

[9]

Bhurgri H., Qidwai W., Awareness of the process of informed consent among family practice patients in Karachi, J Pak Med Assoc, 54, pp. 398-401, (2004)

[10]

Shiraz B., Shamim M.S., Shamim M.S., Ahmed A., Medical ethics in surgical wards: Knowledge, attitude and practice of surgical team members in Karachi, Indian J Med Ethics, 2, pp. 94-6, (2005)

← 1 2 3 4 →